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Nine imaging modalities were reviewed including: Ultrasound (US), High\u2010Frequency Doppler Ultrasound (HFUS), Computed tomography (CT), Positron emission tomography\u2013computed tomography (PET\u2010CT), and Magnetic Resonance Imaging (MRI), High\u2010resolution\u2010MRI (HR\u2010MRI), Magnetic Resonance Spectroscopy (MRS), Optical Coherence Tomography (OCT), and Dermatoscopy. Imaging is mainly used for preoperative assessment and surgical planning, not routine diagnosis. US is effective for initial evaluations, demonstrating superior ability in detecting muscle invasion and defining tumour boundaries (sensitivity \u2013 81.8%, specificity \u2013 100%). MRI is valuable for preoperative evaluation, surgical planning, and monitoring DFSP recurrence. It more accurately assesses tumour depth than palpation, with a sensitivity of 67% and specificity of 100%, but was inferior when compared to US. CT is utilized in cases of suspected bone involvement or pulmonary metastasis. For advanced or recurrent DFSP, PET\u2010CT helps manage treatment responses and imatinib therapy. Emerging technologies like MRS and OCT show potential in improving diagnostic accuracy and defining surgical margins, though more data are needed. US, MRI, and CT are the primary imaging modalities for DFSP. Emerging technologies like HR\u2010MRI, PET\u2010CT, MRS, and OCT hold promise for refining diagnostic and management strategies. Integrating multiple technologies could enhance management, particularly in atypical or aggressive cases. Further studies are required to refine imaging protocols and improve DFSP outcomes.<\/jats:p>","DOI":"10.1111\/ajd.14366","type":"journal-article","created":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T17:04:22Z","timestamp":1727975062000},"page":"610-620","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Advances in non\u2010invasive imaging for dermatofibrosarcoma protuberans: A review"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7987-7635","authenticated-orcid":false,"given":"Yanci A.","family":"Algarin","sequence":"first","affiliation":[{"name":"Eastern Virginia Medical School  Norfolk Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anika","family":"Pulumati","sequence":"additional","affiliation":[{"name":"University of Missouri\u2010Kansas City School of Medicine  Kansas City Missouri 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